Founding Head of Engineering

Kadence is a VC funded HealthTech company focused on building an AI-powered decision engine for healthcare billing disputes. They are seeking a Founding Head of Engineering who will be responsible for designing and building the core platform and establishing engineering best practices while partnering closely with the founder on product decisions.

Responsibilities:

• Design and build the core platform: APIs, data models, workflow/state machine, and UI
• Implement a claims workflow supporting human-in-the-loop operations
• Gradually automate manual steps using LLMs and standard automation tools
• Contribute to the decision engine that selects which claims to contest, how, and for how much
• Establish engineering best practices (testing, monitoring, security)
• Partner closely with the founder on product decisions and future hiring

Requirements:

• 7+ years software engineering experience, including:
• Strong full-stack skills (backend-heavy, competent frontend)
• Experience at a SaaS/product company
• Startup or zero-to-one experience (early-stage, high ambiguity)
• Solid grounding in: Databases, application architecture, distributed systems basics
• Workflow/state machines, queues, or operations-heavy systems
• 1–2+ years working with LLMs/AI features in a product (agentic or workflow automation a plus)
• Hands-on: comfortable shipping code ~50%+ of your time while owning architecture
• Bias toward startup pace and ownership over large, process-heavy environments
• Curiosity and enthusiasm for rapidly evolving AI tooling
• Experience in healthcare, insurance, or regulated environments
• Prior founding/early-engineer experience